Vitreo-retinal Surgery

✍ Scribed by A. J. Augustin (auth.), Stanislao Rizzo MD, Fabio Patelli MD, David R. Chow MD (eds.)

• Publisher: Springer Berlin Heidelberg
• Year: 2009
• Tongue: English
• Leaves: 241
• Series: Essentials in Ophthalmology
• Category: Library

✦ Synopsis

Since the introduction of vitrectomy in the 1970s, vitreoretinal surgery has rapidly developed. Initially, new instrumentations were created to facilitate intraocular maneuvers and to treat almost all the vitreoretinal pathologies. High speed vitrectome probs, forceps, scissors, endolaser probes, and new light sources (xenon/photon light) permit us to perform safer surgeries.

However, in the last few years the approach to vitreoretinal surgery has changed with the introduction of small gauge instruments and sutureless surgery. At present there is still confusion among vitreoretinal surgeons about the use of 25-, 23- or 20-gauge sutureless systems.

Leading surgeons in the field were recruited to offer their insights into the sutureless techniques they perform.

Topics dealt with in the book include:

fluidics and technical characteristics of 23- and 25-gauge systems

basic vitrectomy techniques of 23- and 25-gauge systems

sclerotomy characteristics of the sutureless approach

advantages and disadvantages of the sutureless technique

vitreoretinal pathologies treated with 23- and 25-gauge systems

complications of the sutureless technique

current clinical data

✦ Table of Contents

Front Matter....Pages I-XVII
Historical Overview of Microincision Surgery....Pages 1-8
25-Gauge Instrumentation: Engineering Challenges and Tradeoffs....Pages 9-29
25-Gauge, Sutureless, Trans-Conjunctival Vitrectomy....Pages 31-36
Transconjunctival 23-Gauge Vitrectomy....Pages 37-44
23-Gauge One-Step Instrumentation....Pages 45-48
Small Gauge Vitrectomy: Anesthesia, Incision Technique and Cannula Removal....Pages 49-56
Comparison of 25-Gauge Trocar/Cannula Wound Healing and Remodeling with In Vivo Vitrector Flow Analysis....Pages 57-67
25-Gauge Vitreous Surgery: Getting Started....Pages 69-76
25-Gauge Macular Surgery: Principles and Instrumentations....Pages 77-87
25-Gauge Sutureless Vitrectomy for Diabetic Retinopathy....Pages 89-103
Small-Gauge Vitrectomy for Retinal Detachment....Pages 105-110
Perfluorocarbon-Perfused 25-Gauge Vitrectomy....Pages 111-118
Primary 25-Gauge Vitrectomy with Topical Anesthesia for Persistent Vitreous Floaters....Pages 119-121
25-Gauge Vitrectomy in Infectious Endophthalmitis....Pages 123-145
25-Gauge Transconjunctival Sutureless Vitrectomy for Vitreous and Retinal/Choroidal Biopsy....Pages 147-156
Uveal Biopsy with 25-Gauge Vitrector: Work in Progress....Pages 157-162
The Use of 25-Gauge Vitrectomy Systems in the Management of Trauma....Pages 163-170
Small-Gauge Approach in Pediatric Vitreoretinal Surgery....Pages 171-174
Combined Phaco/25-Gauge Vitrectomy....Pages 175-180
Complications of 25-Gauge Vitrectomy....Pages 181-186
A Comparison of 20- vs 25-Gauge Vitrectomy: Does Size Matter?....Pages 187-193
20-Gauge Sutureless Vitrectomy Trocar System....Pages 195-200
20-Gauge Non-Cannulated Sutureless Vitrectomy....Pages 201-207
Small-Gauge Vitrectomy: Which Calliper Should We Choose and When?....Pages 209-211
Current Clinical Data and Future (for Small-Gauge Vitreoretinal Surgery)....Pages 213-222
Pearls from Experts....Pages 223-230
Back Matter....Pages 231-234

✦ Subjects

Ophthalmology